New data reveals consumers still struggle with healthcare literacy
Optavise (formerly known as DirectPath), a one-stop shop for employee benefits programs offering a combination of products, technology, and expert guidance, today released a new report, Healthcare Literacy Takes One Step Forward, Two Steps Back.
The report highlights the need for greater healthcare literacy education as 62% of respondents stated they don't always compare costs before receiving care, which could mean they are overpaying for healthcare services. Only 10% of respondents stated they check whether a medical provider or facility is in-network whenever their health plan changes (down from 25% in 2021). The survey was based on responses from 1,055 U.S. workers with employer-sponsored health insurance.
According to Optavise's new report, employees are very eager to make smarter healthcare decisions and save money. Other key findings include survey respondents wanting to know how to:
- Avoid surprise medical bills (39%)
- Understand how their deductible, copay/coinsurance and out-of-pocket maximum (OOPM) work, and how it impacts their wallet (33%)
- Review an explanation of benefits (EOB) and medical bill for errors (30%)
- Research healthcare costs and why it matters (29%)
- Choose a plan and where to get care (22%)
"From inflation to a greater number of Americans facing medical debt, it is critical that consumers have the information they need to make cost-conscious healthcare decisions," said Kim Buckey, vice president, client services at Optavise. "While new regulations have gone into effect to help curb surprise medical bills, these regulations alone are often not enough to reduce healthcare spending, especially since hospitals may not be in compliance and consumers generally do not know that these regulations exist."
To ensure employees receive the support they need to increase their healthcare literacy and improve their financial wellness, more employers are partnering with benefits educators and digitizing education. According to the Optavise survey, 26% of polled employees say their employers offered presentations and group sessions with benefits educators and outside resources (up from 22% in 2021), and 24% offered one-on-one conversations with these outside resources (up from 16% in 2021). More than half of respondents (53%) said that their company has made online resources available, up from 41% in 2021—likely due to the shift to remote or hybrid workforces.
"It is encouraging that employees want to increase their healthcare literacy rates to improve their financial situations," added Buckey. "More employers, however, need to rise to the occasion. Employees are demanding more financial wellness support, meaning employers need to offer health benefits education. This is critical for employees to receive accurate, timely and consistent information about how to choose and use their health plans so that they—and the company—are not overspending on healthcare services."
For more information about the report, visit this link.
Methodology
Optavise surveyed 1,055 U.S. workers with employer-sponsored health plans who do not work in the insurance industry.
About Optavise
Optavise is a comprehensive provider of employee benefits solutions that helps employers and their employees maximize their benefits and make better health and financial decisions. We offer a unique combination of expert guidance, voluntary benefits, year-round education, communications and advocacy, and benefits administration technology. A part of the CNO Financial Group (NYSE: CNO) family of brands, Optavise operates nationwide through a network of 10,000 broker partners and more than 600 dedicated agents. We serve nearly 20,000 businesses and employers, ranging from small- and medium-sized businesses to Fortune 100 companies. For more information, visit Optavise.com.



Topretirements.com Announces the 5 Medicare Mistakes You Don't Want to Make
WOLF HALDENSTEIN ADLER FREEMAN & HERZ LLP: ELEPHANT INSURANCE SERVICES, LLC DATA BREACH INVESTIGATION ALERT
Advisor News
- House panel votes to raise certain taxes, transfer money to offset Medicaid shortfall
- Iowa House backs temporary tax hike to fill Medicaid gap
- Iowa Medicaid temporary tax plan draws sharp public opposition
- Charitable giving planning can strengthen advisor/client relationships
- New $6K deduction could provide tax planning window for retirees
More Advisor NewsAnnuity News
- We can help find a loved one’s life insurance policy
- 2025: A record-breaking year for annuity sales via banks and BDs
- Lincoln Financial launches two new FIAs
- Great-West Life & Annuity Insurance Company trademark request filed
- The forces shaping life and annuities in 2026
More Annuity NewsHealth/Employee Benefits News
- In U.S. Health Insurance Market, Consolidation Of Insurers Is Increasing Premiums
- Health insurance jargon can be frustrating and confusing – here's how to navigate it
- Minnesota Blue Cross CEO steps down from Sutter Health board over conflict of interest
- 'No-cost" Lantern surgical benefit has modest early use from SHP members
- House panel votes to raise certain taxes, transfer money to offset Medicaid shortfall
More Health/Employee Benefits NewsLife Insurance News
- Murray Giles Hulse
- New individual life premium hits record-setting $17.5B in 2025
- Maryland orders Cigna to halt underpaying doctors or give cause
- Insurers optimistic about their investments in 2026
- AM Best Affirms Credit Ratings of PVI Insurance Corporation
More Life Insurance News